Trinity URD Safety and Health Program Implementation Checklist/Tailboard Briefings/JSA Templates

Trinity URD Safety and Health Program Implementation Checklists Tailboard Briefings and JSA Templates

SECTION 1: MANAGEMENT LEADERSHIP Action

Management implements and communicates a written, signed policy supporting the safety and health program.

Management routinely demonstrates visible commitment to the program.

Management defines specific goals and expectations for the program, along with plans for achieving the goals.

Management allocates appropriate resources (funds and time) to accomplish goals and manage the program.

Management assigns responsibility and accountability for implementing and maintaining the program.

Management encourages, recognizes, and rewards worker contributions to workplace safety and health.

Complete

Partially Complete

Incomplete

Comments

Notes:

2

December 2017

SECTION 2: WORKER PARTICIPATION Action

Workers are encouraged to participate in the program, have the means to participate, and feel comfortable participating and giving input on safety and health issues.

Workers are trained on how to report an injury, illness, hazard, or concern, including good catches/near misses.

Workers report injuries, illnesses, hazards, and concerns without fear of reprisal.

Reports of injuries, illnesses, hazards, or other concerns are acknowledged promptly.

Reports of injuries, illnesses, hazards, or other concerns are resolved promptly, after worker input is sought, and are tracked to completion.

Workers have access to information they need to understand safety and health hazards and hazard control measures in the workplace.

Workers are assigned roles in or are otherwise involved in all aspects of the program.

Workers can participate without encountering language, skill, or education barriers; restrictions on participating during work time; or fear of retaliation or discrimination.

Workers have authority to initiate or request a temporary suspension or shutdown of any work activity or operation they believe to be unsafe.

Complete

Partially Complete

Incomplete

Comments

Notes: 3

December 2017

SECTION 3: HAZARD IDENTIFICATION AND ASSESSMENT Action

Written materials such as injury/illness logs, Safety Data Sheets, medical reports, workplace inspection results, incident investigation reports, and manufacturers’ literature are reviewed to help identify hazards.

The workplace is inspected regularly to identify conditions that pose or could pose a safety or health concern. Inspections cover all areas and activities and include plant and transportation vehicles.

Before making changes to operations, workflow, physical plant, equipment, or materials, workers and managers conduct a review to identify any safety or health issues.

The workplace is evaluated to identify worker exposure to health hazards.

Trends in injury and illness data, reports of hazards, incidents, etc. are analyzed to identify common hazards.

Incidents (including close calls/near misses) and employee complaints are investigated to identify any hazards previously unrecognized or inadequately controlled.

Investigations focus on identifying the root cause(s) of each incident.

Hazards associated with emergencies and non-routine operations are identified in the emergency action plan and operating procedures, respectively.

Complete

Partially Complete

Incomplete Comments

4

December 2017

Action

All identified hazards are characterized with respect to the severity of potential outcomes, likelihood of an event or exposure, and number of workers who might be exposed. This information is identified in operating procedures.

Complete

Partially Complete

Incomplete Comments

Interim controls are adopted while permanent controls are being determined.

All serious and recognized hazards are addressed immediately, while prioritizing remaining hazards for further control.

Notes:

5

December 2017

SECTION 4: HAZARD PREVENTION AND CONTROL Action

Options for controlling hazards are identified using sources such as OSHA, NIOSH, industry best practices, and input from workers.

Controls are selected according to the “hierarchy of controls,” emphasizing (in order of priority) elimination, substitution, engineering controls, administrative controls, and PPE. A hazard control plan is used to plan and prioritize controls.

Controls are installed as soon as a hazard is identified.

Interim controls are used when permanent controls cannot be immediately implemented.

Workers are involved in selecting controls.

Controls are in place to protect workers during emergencies and nonroutine operations.

Once installed, controls are monitored to ensure that workers understand their use and application and to verify that they are effective.

Implementation of controls is tracked to completion. Controls are inspected and maintained.

Complete

Partially Complete

Incomplete

Comments

Notes:

6

December 2017

SECTION 5: EDUCATION AND TRAINING Action

Managers, supervisors, and workers understand the elements of the safety and health program and how to participate in it.

Workers understand the employers’ responsibilities under the program.

Each worker understands his or her own role in the program.

Workers know whom to contact with concerns or questions, and understand the procedures for reporting injuries, incidents, hazards, and concerns.

Workers know they have a right to participate in the program and report injuries without fear of retaliation or discrimination.

Workers with assigned roles under the program receive training on how to carry out their roles.

Workers are trained to understand how to recognize hazards and effective techniques for their control.

Workers can ask questions, receive answers, and provide feedback during and after training.

Employers, managers, and supervisors understand their responsibilities under the OSH Act; procedures for responding to workers’ reports of injury, illness, or concern; techniques for identifying and controlling hazards; and fundamentals of incident investigation.

Workers receive supplemental

Partially Complete Complete

Incomplete

7

Comments

December 2017

Action

training when a change in the workplace could introduce new or increased hazards.

Workers receive training in a language and at a literacy level that all of them can understand.

Partially Complete Complete

Incomplete

Comments

Notes:

8

December 2017

SECTION 6: PROGRAM EVALUATION AND IMPROVEMENT Action

Performance indicators are used to track progress toward program goals.

Performance is tracked using both lagging and leading indicators.

Performance data are analyzed and shared with workers.

Management does an initial review (and subsequent annual reviews) to evaluate the program and ensure that it is fully implemented and functioning as planned.

Workers are involved in all program review activities.

Program reviews examine key processes to ensure that they are operating as intended.

The program is modified as needed to correct shortcomings.

Partially Complete Complete

Incomplete

Comments

Notes:

9

December 2017

SECTION 7: COMMUNICATION AND COORDINATION FOR HOST EMPLOYERS, CONTRACTORS, AND STAFFING AGENCIES Action

Before contractors or staffing agencies bring their workers onsite, they and the host employers determine which among them will implement the various elements of the safety and health program.

Before contractors or staffing agencies bring their workers onsite, host employers give them enough information to assess hazards that those workers may encounter, to understand the measures taken to control them (e.g., safety and health rules, when PPE is required, whom to contact in an emergency, etc.), and to avoid creating hazards that affect workers on the site.

Contractors and staffing agencies inform the host employer about injuries, illnesses, hazards, or concerns reported by their employees, and the results of any tracking or trend analysis that they perform.

Contractors and staffing agencies inform the host employer of any hazards arising from their work onsite and the controls in place to address those hazards.

Before contractors or staffing agencies bring their workers onsite, the host employer gives them the opportunity to conduct site visits or inspections and to review injury and illness records and other safety and health information.

Partially Complete Complete

Incomplete

10

Comments

December 2017

Action

Host employers communicate with contractors and staffing agencies and their workers about nonroutine and emergency hazards and emergency procedures.

Host employers include any safetyrelated specifications or qualifications in bid documents and contracts.

Host employers coordinate with contractors and staffing agencies to ensure that work is planned and scheduled to minimize impacts on safety.

Staffing agency workers are adequately trained and equipped before arriving onsite.

Host employer, contractor, and staffing agency policies and procedures are aligned to ensure that all workers receive consistent safety information.

Workers have access to managers with decision-making authority, to resolve any coordination issues or discrepancies.

Partially Complete Complete

Incomplete

Comments

Notes:

11

December 2017

Safety First

Tailgate Forms & Documented Job Briefings

Safety First

Tailgate Forms & Documented Job Briefings

Table of contents Introduction...................................................................................1 EXAMPLE 1:

Job Briefing (Tailboard Discussion) Checklist...........................2 EXAMPLE 2:

General Job Briefing Form..........................................................3 EXAMPLE 3:

Job Safety Briefing and Tips for Job Safety Meeting.................................................................5 EXAMPLE 4:

Job Briefing – Overhead T&D or Underground............................................................................7 EXAMPLE 5:

Electric Distribution Job Briefing................................................9

About the American Public Power Association & RP3 The American Public Power Association (APPA) represents not-for-profit, community-owned electric utilities that power homes, businesses and streets in nearly 2,000 towns and cities, serving 48 million Americans. With no divided loyalties, these utilities are focused on a single mission — providing reliable electricity at a reasonable price, while protecting the environment. These public power utilities generate or buy electricity from diverse sources.

APPA’s Reliable Public Power Provider (RP3) designation program recognizes public power utilities that demonstrate leading practices in reliability, safety, work force development, and system improvement. RP3 utilities are uniquely positioned to convey their commitment to providing reliable and safe electric service to their customers. RP3 designees have proven themselves to be in accordance with industry standards for best practices in operations and many have seen improved performance through the application process. To achieve RP3 program designation, a utility must demonstrate that it uses an accepted safety manual, conducts job briefings, and follows safe work practices — among other requirements.

Introduction Worker safety is at the core of a public power utility’s commitment to service. Safety must begin with top management and be included in all aspects of operations from generation to linework, and all utility services in between. Benchmarking — through methods like tracking industry-accepted OSHA incident rates — and maintaining focus on frontline workers are both crucial to the delivery of safe and reliable electricity.

An important component of a strong safety program at an electric utility is a job briefing or tailgate meeting.

While each utility has unique ways to determine appropriate safety programs for employees, tailgate meetings are seen across the board as a critical way to communicate safety expectations.

These meetings — whether called job briefings or tailgate meetings — are intended to let utility crews acknowledge potential hazards, review work procedures, and address safety measures before starting a job. The Occupational Safety and Health Administration requires that these meetings be held.

The APPA Safety Manual – 15th Edition1 and section 421 of the National Electrical Safety Code (NESC)2 recommend that a job briefing should cover at least the following: • Hazards associated with the job • Work procedures involved • Special precautions and risk mitigation • Energy source/hazard controls • Personal protective equipment requirements • Emergency response information This report, Safety First: Documented Job Briefings and Tailgate Forms, helps public power utilities document the safety measures addressed in job briefings and tailgate meetings.

For this report, the American Public Power Association has compiled forms submitted in applications for the Reliable Public Power Provider (RP3) program. The applications are from utilities that received diamond designation – the highest level of RP3 recognition.

Information identifying the utilities has been stripped to ensure anonymity.

While documentation is not mandatory, many utilities create forms to ensure that they address all components of a tailgate meeting. Taking the extra step to document the meeting helps underscore the utility’s commitment to safety and instills responsibility in employees.

APPA Safety Manual, Fifteenth Edition 2012, “Job Briefings”, American Public Power Association, Arlington, VA, 22202, www.publicpower. org/safety.

1

2

National Electrical Safety Code C2-2012, “General Operating Routines,” IEEE Standards Association, New York, NY 10016-5997, USA, http://standards.ieee.org/about/nesc/.

Tailgate Forms & Documented Job Briefings 1

EXAMPLE 1

Job Briefing (Tailboard Discussion) Checklist

Tailgate Forms & Documented Job Briefings 2

EXAMPLE 2

General Job Briefing Form

Tailgate Forms & Documented Job Briefings 3

EXAMPLE 2

General Job Briefing Form

Tailgate Forms & Documented Job Briefings 4

EXAMPLE 3

Job Safety Briefing and Tips for Job Safety Meeting Job #: _________________ Foreman: ____________________

Date: ____________

Special Hazards and Precautions (what is unique about this job?):

Work Procedure (what are the job steps or procedures involved in this job?):

Energy Source Control (what will be locked / tagged out, de-energized, tested, grounded?):

Ergonomics (Warm up, stretch, work as a team, good body position, and avoid overdoing it)

PPE, Tools, and Equipment (Discuss what is required, needed for the job):

By signing below, employees have been actively involved in the Job Safety Briefing and will work to ensure the job will be performed safely (include employee number with signature).

_______________________________________________

________________________________________________

_______________________________________________

________________________________________________

_______________________________________________

________________________________________________

Tailgate Forms & Documented Job Briefings 5

EXAMPLE 3

Job Safety Briefing and Tips for Job Safety Meeting

Tailgate Forms & Documented Job Briefings 6

EXAMPLE 4

Job Briefing – Overhead T&D or Underground

Tailgate Forms & Documented Job Briefings 7

EXAMPLE 4

Job Briefing – Overhead T&D or Underground

Tailgate Forms & Documented Job Briefings 8

EXAMPLE 5

Electric Distribution Job Briefing

Tailgate Forms & Documented Job Briefings 9

EXAMPLE 5

Electric Distribution Job Briefing

Tailgate Forms & Documented Job Briefings 10

This report was created by the American Public Power Association’s Reliable Public Power Provider (RP3) program for the use of APPA members only.

For any questions, email RP3@PublicPower.org or contact APPA’s RP3 Staff: Tanzina Islam TIslam@PublicPower.org 202.467.2961 Alex Hofmann AHofmann@PublicPower.org 202.467.2956 Michael J. Hyland MHyland@PublicPower.org 202.467.2986

Tailgate Forms & Documented Job Briefings 11

Job Safety Analysis Worksheet Company name:

Date:

Site name:

Permit to work requirement:

Contractor:

Approved by:

JSA No. Yes

No

Activity:

Activity

Hazards

Risk control measures

Who is responsible?

List the tasks required to perform the activity in the sequence they are carried out.

Against each task list the hazards that could cause injury when the task is performed.

List the control measures required to eliminate or minimise the risk of injury arising from the identified hazard.

Write the name of the person responsible (supervisor or above) to implement the control measure identified.

Remember: Each JSA must be site specific.

Include all workers in the development of this JSA. Download Free Templates & Forms at Speedy Template http://www.SpeedyTemplate.com/

JOB HAZARD ANALYSIS FORM Reference: (enter reference for correct procedures -29 CFR Part 1926, etc.)

Job Description

Hazard Identification

Hazard Controls

(list job / task to be analyzed here)

(if the job / task consists of multiple phases, break out each phase separately) Itemize each step to the job/task here - 1, 2, 3, to the completion of the task

With each step listed on the left, discuss with your crew any possible hazards that may be encountered

With each Step and hazard listed to the left, list controls that your crew will be utilizing to contain and control that hazard.

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(Subsequent phases of the same job / task) Itemize each step to the job/task here - 1, 2, 3, to the completion of the task

With each step listed on the left, discuss with your crew any possible hazards that may be encountered

With each Step and hazard listed to the left, list controls that your crew will be utilizing to contain and control that hazard.

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Instructions for employees: Any additional instructions for crew will be listed here.

Have all crew members sign here to acknowledge their understanding of the JHA.

Manager / Supervisor Signature: ______________________________ Date: ____________________ NOTE TO MANAGER, SUPERVISOR OR FOREMAN: WORK MUST NOT START UNTIL CONTROLS ARE IN PLACE AND THIS HAS BEEN DISCUSSED AND ALL SIGNATURES ARE OBTAINED.

Job Safety Analysis Form